| NPI | 1346664794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN CNP2206) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R 103067-1) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MN CNP2206) | |
| Enumeration Date | 2014-02-05 |
| Last Update Date | 2025-07-19 |